ArticleAnnals of clinical and translational neurology2026
Stage-Specific Patterns of Imaging and Non-Motor Biomarkers in Spinocerebellar Ataxia Type 3.
Article in Annals of clinical and translational neurology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04010214 (A Registered Cohort Study on Cerebellar Ataxia), which is not on this map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
A Registered Cohort Study on Cerebellar Ataxia
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Authors and funding
18 authors.
Funding
Abstract
objectiveAdvancements in disease-modifying therapies for spinocerebellar ataxia Type 3 (SCA3) underscore the need for robust biomarkers to monitor disease progression and evaluate treatment efficacy. Although motor phenotypes have been well characterized, less is known about non-motor and imaging-based features across different disease stages. This study aimed to characterize stage-specific patterns of non-motor and imaging biomarkers in SCA3.
methodsThis cross-observational study included 229 patients with SCA3 and 104 age- and sex-matched healthy controls from the Organization for Southeast China for cerebellar ataxia research. Non-motor symptoms were assessed using a battery of neuropsychological tests. Brain volume loss was assessed by 3.0-Tesla MRI with regions-of-interest (ROI)-based volumetric analysis. Neuroinflammation was quantified in vivo using translocator protein positron emission tomography (TSPO-PET) with the
resultsNon-motor symptoms, including cognitive functions, anxiety, fatigue, depression, and sleep quality, declined after ataxia onset in SCA3. Volume loss in the brainstem and ventral diencephalon diverged from normal controls at 0.7 and 0.2 years before ataxia onset, respectively. Correspondingly, the TSPO signal in the brainstem and ventral diencephalon increased and deviated from normal throughout the disease course.
interpretationOur findings propose a staging model of SCA3 that includes a biomarker stage characterized by multidimensional objective indicators of neurodegeneration and neuroinflammation from pre-ataxia to ataxia onset.
trial registrationClinicalTrials.gov identifier: NCT04010214.
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